HomeMy WebLinkAbout15-16450 -
CITY OF ZEPHYRHILLS
5335-8TH STREEf
� - (slis)�so-oozo 16450
PL�JM�IPIG PERMIT
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PERMIT INFORMATION LOCATION INFORMATION
Permit#:16450 Issued: 7/16/2015 Address: 4825 17TH ST
Permit Type: SEWERLINE REPLACEMENT ZEPHYRHILLS, FL.
Class of Work: SEWERLINE REPLACEMENT Township: Range:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 1,600.00 Total Fees: 46.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 46.00 Date Paid: 7/16/201�5 Parcel Number: 14-26-21-0010-02100-0060
CONTRACTOR INFORMATION OWNER INFORMATION
Name: CHRIS BAHR PLUMBING Name: WEBER, RONALD & ONALEE
Addr: 5729 GALL BLVD. Address: 4825 17TH ST
ZEPHYRHILLS, FL 33541 ZEPHYRHILLS, FL. 33542
Phone: (813)782-2524 Lic: Phone:
Work Desc: SEWER LINE REPLACEMENT
• APPLICATION FEES
SEWERLINE 46.00
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INSP TIQN - QU ED
FINAL � ' \
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REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site f) plans not a job site g) work not accessible.
NOTICE: In addition to the requirements of this permit;there may be additional restrictions applicable to•this property that
may be found in the public records of this county, and �here may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be made befo e any further permits will be issued to the person owning same
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications and Fee Must Accompahy Application. All work shall be performed in accordance with City
Code�s and Ordinances.
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ONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-7$0-0020 City of Zephyrhills Permit Applica#ion Fax-813-T80-0021
Buitding Department
Date Received ,
Phane Coa�tact for Permltt�n —
Owner'a Name � � Owner Phane Number `��t�'—7 7�`��b�
Owner's Address �` S l Owner Phone Number � �
Fee Simpte Tltleholder Name � � Owner Phone Number �_ �
(
Fee Slmple Titleholder Address
JOB AGDRESS �� � �� / LOT# �___�
SUBDIVISION �� � PARCE�ID#
(OBTAINED FROM PROPERTYTAX NOTICE)
WORK PROPC}SEQ NEW CoNSTR ADD/AL Q S1GN Q Q DEMOLiSH
INSTALL REPAIR
PROPOSED USE Q SFR � COMNI Q OTNER
TYPE OF CONSTRUC710N Q BLOCK Q FRAME � STEEL Q
dESCRIPTION OF WORK C�GU e J�,, {l��.... �..GL `�'/1/LeG�
I BUIIDlNG SIZE � � SQ FOOTAGE� MEIGHT �_____��
�gu���l�� $ VALl7ATION�OF TOTAt�CONSTRUCI'lON
�, �
QE�EC'{'RIC1�1� �i�� AMP SERV{ �E Q PRC?GRESS ENERGY Q W.R.E.C.
, �PLUMBI�VG $ Da
�
� � ,
'� QMECHANlGAt. $ VALUATION 4F MECNANICAI.INS7Al.LATlG1N ��� C " "
OGAS � RQQFING Q SPECI LTY � C?TFtER
FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NQ
Bil1�DER C8 PAt+tY
31GNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addres� � Cicense# � �
ELECTE2iC1AH! CO PA1r1Y
SIGNATURE Re ISTERED Y/ N F6E CURRE� Y/N
Addrsss � � License# r—y ��
PLUMBER CONlPANY l L��i"J I 1�
' SIGNATURE REC�ISTERED Y/ N FEE CURRE� Y/N
� ` ��/�z6� ��
Address -� t L.a�t L�D ! /S License# �� �
MECHANICAL C�MPA[+tY
SIGNATURE REGIStERED Y/ N FEE CURRE� Y/N
Address License# � �
O'fHER C�NlPANY
StGNA7URE REGISTERED Y/ N FEE CURRE� Y/N
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Address License# �� �
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RESIDENTIAi: Aftach{2)Plot Plans;(2}sets of-Bulld�ng Plans;{1}se#af�Energy Forms;R-Q-W Permlt far new canstruction,
Minimum ten(1.0)working;days after.submlttal date. R�quired onsite,Construction Plans,Stormwrater Plans w/Sllt Fence installed,
Sanitary Facilities&,1.dumpster Sike-Work•:Permit far subdivisionsAarge�prajects �
COMMERCIAt. Attach{3)complete sefs of Suitd9rtg Plans plus a Ufe Safety Page;{1)set of Energy Farms.R-O-W Permlt for new construction. -
Minimum ten(10)warking days�after submittal date, Required onsite,ConstrucUon Plans,Stortnwater Plans w/Silt Fence installed,
Santtary Facititles&1 dumpster.Site Work Pertnit tar all new proJects.All commarcial requirements must meet compliance
SIGN PERIVIlT Attacfi(2)sets ofEi�gineered Plans.. �
, ""`PROPERTY SURVEY required for all NEW construction.
Direetlans:
Fill out applicatlon completely.
Owner&Contractor sign back of applfcallon,nota�ized
if aver�2504,a Notice of Commencement is eequlred. (AtC upg I des aver?rT500}
, `" Agent(for fhe contractor)or Power of Attomey(for'the owner)would be sameone with notarized letter from owner authorizing same
• �:��„ >_..:..,, _. ,�.�, ..
' DVER i'NE COt1NTER PERNli7TING ''`�� (Fiant af Application Only}
Reroofs If shingles Sewers Service,Upgrades A/C,. ., Fences(Plat/Survey/Footage) ,
� i. „ . . � .
Driveways-Not aver Counter if on.pubilc roadways.,needs ROW ;'
NOTICE OF DEED RESTRICTIONS: Th�undersig�ed under.�tands.th�t.this:��rmit.may.be.subJect to,"deed"restrictlons" '`
which may be,more•test�ictive.th�n County�regulatlons. �The°uridersigned as8umes responsi6iitty for`compllance with any �
applicable deed restrictions. , �
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If ttie �owner-has �hired`�a contractor or
contractors to undertake work, they may be required:,to be.ltcensed In accordance.wlth state.and•local regulations: If the �
contractor ts not Itcensed as requlred-by law, both the owner and contracto�-may be�cited-for a�misdemeanor violation
under state law. If the owner or (ntended>contractor are�uncertain as to what Itcensing.requlrements may apply'�for�the �
intended work; they are advised to contact the Pasco County Building Inspection Divlsion—Licensing Sectton at 727-847- ,
8009. Furthermore, If the owner has hired a conhactor o� contractors, he is advised to have the contractor(s), sign ,
portfons of the "contractor Block° of this application for which they will be responsible. If you� as-.the owrier sign''as`the
contractor, that inay be an indicatlon that he is not.properly Hcensed and�is not entitled to peririftting privileges In Pasco ;
County. �- �
TRANSPORTATION IMPACTlUTILITIES IMPAC7 AND-RESOU�tCE RECOVERY FEES:�The undersigned understands ,
that Transportatfon Impact Fess and.Recourse Recove.ry.Fees may�apply�to:the construct(on of new buildings,;:change of.
use in existing build(ngs, or,expansion�-.of��existi�i,g`buildings, as speclfied in Pasco County Ordlnance number 89-07 and
90-07, as amended. The undersigned also.understands, that�such fees„as;may be�_due,;�wfll be identified at the`time of ;
permitting. It fs further understood that Transportation Impact Fees and Resource Recovery"Fees must be paid prior to
receiving a."certificate of occupancy" or flnal power release. :If the project�does not Involve:a certificate of occupancy or !
finai power release, the.fees must be paid prior to permit Issuance. F��thermore;�ff:Pasco County Water/Sewer Impact
fees a�e due,they must.be�pald prior to permit-issuance-in accordance with appllcable.Pasco Countjr ordinances. �
CONSTRUCTION LIEN LAW(Chapter 713� Florlda Statutes,as amended): If valuatlon of work is$2,500.00-or more, I ,
certi(y that I, #he applicant, have-been provided with a copy of the "Florida Construction Llen Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agric,uiture and Consumer Affairs. If the applicant Is someone
other than the"owner", I certlfy that I have obtained�a copy,of the above.described docui�ent=and.pcomise in,good;faith to
deliver ft to the°owner"prior to�commencement. .
CONTRACTOR'SIOWNER'S AFFIDAVIT: I.certify:that,all the.lnformation In this application is accurate and that all work
witl�be done in compliance with ail applicable laws regulating construction, zon(ng and land development. Application is
hereby made to obtain .a permit to do work.and Installatlon as tndicafed:. 'I certify that no wrork>or installatton has
commenced pr(or to issuance of a permit and that:all work will be performed to meet standards of all laws regulaking�
construction, County and City codes, zoning regulatiQns, and land development cegulations•in the jurisdtctfon. I ai'so
certify that I uaderstand that the regulations of other government agencies may�apply�to the intended work, and that it is
my responsibility to identify•what,actions I must take to be,In:.corrlpliance. S.uch agencles include but are..not Ilmited to:
- Department of Er�vironmental Protection-Cypress.Bayheads, Wetland Areas and Envlronmentally Sensitive
Lands,WaterMlastewater Treatment.
- Southwest Florida Water Management .Distr(ct-Wells, Cypress. Bayheads�, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, IVavigable Waterways.
- Department of Health & Rehabilitative Serv(ces/Environmenfal Health Unit Well.s� Wastevu�ater=Treatment,
Septic Tanks. _
- US Environmental Protectfon Agency-Asbestos abatement.
- Federal Avlatton Authority-Runways. •
i understand that the following:restrictions apply to the use of flll:•
- Use of flli is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill material is to be used. in �Flood Zone. "A", (t. Is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which Is prepared by a professional engineer
� 1(censed by the State-of Flor(da:
- If the flll material.is-to be used In Flood Zone 'A" fn�connection�wlth.a pecmitted building using stem wall
' construction, i certiy that fill�:wall=be used only.to.fill the area within the�stem�wall.
- If flll material is to be used in any area, I certify that .use of such flll will not adversely affect adjacent
properties. If use of flll is found to adversely.�ffect ad)aEent propertles, the owner may be cited for viofating
the condilions of the building-.permit issued�under the attached permit applicatlon, for lots less than one (1)
acre which are elevated�by flll, an engineered dralnage pian is required. , �
If I am the AGENT FOR THE OWNER, I,�promise In good faith to inform the owner of the permitting condit(ons set forth in
thls affidavit prior to commencing construction. I understand thet a-separate permit may be required for electrical work,
plumbing, signs, welis, pools;, air conditioning,.gas, or other installations not specmcally included�in.the application. .A
perm�t issued shall be construed to be a Iicense to p�oceed with the work and not as.authority to.violate,cancel, alter, or
set aside any provisions of the technical codes; nor shall issuance�of a permit.prevent the Bulidirig O#ficial from thereafter
requirfng a correction af errors in.plans, construction or violations of any codes. Every permlt Issued shall become invalid
unless the work authorized by such permit��is.commenced�withfn sf�c months of permit lssuance, or if work authorized by
the permit is suspended or.abandoned for a.perfod of six(8)months after the tlme the�wotk ds commenced. An exiension
may be requested, in wrlting, from the Building.Offlcfal for a perlod not to exceed ninety(90) days and will demonstrate
justifiable cause for.the extension�. If work ceaseS.for ninety(90)cons.ecutive daysr..th�job is considered aba�doned.
WARNING TO OWNER: YOUR.FAILURE.TO..REC.ORD A.NOTIGE.OF�COMMENCEMOENT MAY RESULT IN YOUR
PAYING TWICE FOR iMPROVEMENT3 TO YO.Uf�PROPERTY. IF�YO.U�INTEND'TO OBTAIN•FIPFANCING,�CONSULT
INIY OU NDE �.O AN ATTORNEY B FORE�� ECO �D G.�� OUR` �C 'O �•' � E CE ENT�
. . . .
_ FLORIDA_JURA�(F.S:_11I.03)- - --- --- — - --- -!�---— ---- -- --- - --------- --
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OWNER OR AtiENT CONTRACTOR
Subscribed and swom M(or aflirtned)before me ihis Subscribed�' m r rm �before me tFits
by �
Who Islare personelly known to.me or haslF�ave produced o Is/are p onally kn vm to me or has/have produced
as Identlflcatlon. as IdentlRcaOon.
- Notary Public . " /w Notary Publlc
Commisslon No. Comml§sl . �
�n:eva� JACQUELINE BOGES
:��• ;%-,
Name ot Notary typed,printed or stamped Name of Nota ,� �r,1n�p���p�r 12,2018
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